Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Disclosure Therapy

Organization Marriage & Family Therapist · NPI 1942021589

Full Disclosure Therapy is a Marriage & Family Therapist in Eagle, Idaho. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

172 S Academy Ave Ste 150
Eagle, ID 83616-6564
Phone: (208) 668-2701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 S Barrington Ave Ste 250, W Los Angeles, CA 90025-5363 — (310) 570-6897

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1942021589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Rodin — Owner · (310) 570-6897
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateSeptember 16, 2024
Mailing address238 S Neskowin Way, Eagle, ID 83616-4964

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